The title describes exactly what this is, a string of anecdotes of how music and the brain interact. Many of the anecdotes refer to malfunctions of the brain, and how music is affected by them, an understandable focus given Dr. Sacks’ background as a neurologist. This book does not help me directly with what I described above, “a search for mystical/spiritual connections with music.” The focus is on the details of specific conditions, not a grand theory connecting music to physics and metaphysics. But if I ever needed confirmation of the power of music, evidence that music is wired into human beings, inherent in our natures, Dr. Sacks provides it here.

He starts with a discussion of the music we hear in our minds, moving into full-blown musical hallucinations. He moves from there to losses of musical ability and appreciation, to music savants—people with staggering musical abilities while lacking basic mental function, to how music can treat afflictions from dementia to Parkinson’s disease. This includes stories of people suffering from terrible accidents or disabilities leaving them impaired, but also leaving them with prodigious musical abilities. The anecdotal style makes for fascinating reading—readers interested in how music affects humans will turn pages expectantly to get from one intriguing story to the next. Throughout the book, Dr. Sacks also provides numerous specific stories of individuals dealing with various conditions related to music, including a few personal anecdotes of his own experiences.

Some isolated thoughts triggered by this book relating to my quest for a connection between music and metaphysics/physics:

With respect to musical hallucinations, Sacks refers to neurophysiologist Jerzy Konorski who instead of asking “Why do hallucinations occur?” asks “Why don’t they occur all the time?” There may be a mechanism in the normal-functioning human brain that blocks hallucinations, helping to sort out reality. But this calls into consideration our barely rudimentary understanding of consciousness, and poses the question of what “reality” actually is. There are is an agreed-upon reality shared by us “normals.” But does majority rule on this? Is our brain function blocking “true reality” (if such a thing as one “true reality” exists)? Is that filter that allows us “normals” to share an agreed-upon reality something that facilitates accurate perception, or something that holds us back?

Sacks does offer the idea of a broad concept of music, with the only requirement being “discrete tones and rhythmic organization.”

Sacks explores the idea that imagining music “may be as potent, neurally, as actually listening to it.”

Sacks does mention briefly that there is evidence human religious practices “began with communal chanting and dancing, often of an ecstatic kind…” Is this simply a human characteristic, or does this mean music is a wired-in route to a mystical/spiritual reality beyond what we see in the material world?